Average Medicaid Tooth Extraction Payments
Typical Medicaid Tooth Extraction reimbursement across 5,267 cities
Avg. Medicaid Paid
$90.73
Price Range
$0.00 – $570.06
Total Claims
36.2M
Cities
5267
Typical Payment Range
Typical Medicaid Tooth Extraction payments fall between $51.28 and $99.39 per claim (median: $64.79). The top 10% of payments exceed $134.20.
Based on per-provider averages across all Medicaid claims in this category.
About This Procedure
Surgical or simple removal of a tooth. Includes wisdom tooth extraction and other dental extractions.
Why do these costs look low?
These figures represent Medicaid reimbursement rates — the amounts that state Medicaid programs actually paid providers. Medicaid typically reimburses significantly less than private insurance or out-of-pocket prices. If you have private insurance or are paying cash, expect higher costs. See the cost components below for per-code averages.
Costs by City
| City | Avg. Paid | Min / Max | Claims | Providers |
|---|---|---|---|---|
| Sunnyvale, CA | $62.80 | $52.30 – $154.20 | 6,718 | 10 |
| Cayey, PR | $76.43 | $19.90 – $113.24 | 6,724 | 10 |
| Rockville Centre, NY | $96.33 | $32.85 – $107.72 | 6,725 | 4 |
| Parlin, NJ | $57.13 | $53.98 – $71.65 | 6,730 | 2 |
| Bayside, NY | $65.23 | $43.86 – $182.95 | 6,732 | 6 |
| Jbsa Lackland, TX | $235.86 | $55.33 – $264.37 | 6,734 | 6 |
| Urbana, IL | $158.92 | $60.32 – $187.31 | 6,739 | 3 |
| Vega Baja, PR | $44.47 | $24.77 – $83.81 | 6,755 | 13 |
| Rocky Mount, NC | $86.32 | $53.11 – $107.31 | 6,767 | 10 |
| Spring Valley, NY | $41.82 | $38.54 – $103.01 | 6,776 | 3 |
| Newark, OH | $61.39 | $17.44 – $67.81 | 6,779 | 6 |
| Saint Martinville, LA | $33.98 | $5.30 – $55.32 | 6,782 | 2 |
| Spring Branch, TX | $77.80 | $77.80 – $77.80 | 6,786 | 1 |
| Woodhaven, NY | $44.64 | $40.45 – $85.00 | 6,790 | 3 |
| Farmington Hills, MI | $91.81 | $34.48 – $170.52 | 6,791 | 7 |
| Gainesville, GA | $115.41 | $35.37 – $219.05 | 6,797 | 6 |
| Derry, NH | $103.67 | $82.51 – $124.42 | 6,801 | 8 |
| Tallulah, LA | $4.02 | $2.81 – $16.47 | 6,815 | 2 |
| Piketon, OH | $56.98 | $0.00 – $117.63 | 6,816 | 5 |
| Inkster, MI | $87.01 | $25.62 – $87.94 | 6,818 | 2 |
| Coachella, CA | $77.21 | $56.35 – $86.64 | 6,822 | 3 |
| Johnson City, TN | $109.46 | $56.67 – $237.83 | 6,827 | 5 |
| Windsor, CT | $76.95 | $0.00 – $108.59 | 6,828 | 4 |
| Sevierville, TN | $54.45 | $35.52 – $64.91 | 6,834 | 3 |
| Ardmore, OK | $124.43 | $56.07 – $192.23 | 6,841 | 8 |
| Cameron, NC | $78.82 | $65.39 – $83.16 | 6,855 | 2 |
| Central City, KY | $67.10 | $67.10 – $67.10 | 6,858 | 1 |
| Salem, MA | $45.83 | $44.69 – $107.00 | 6,861 | 4 |
| Decatur, GA | $160.18 | $63.04 – $248.93 | 6,862 | 9 |
| Rocky Gap, VA | $49.48 | $49.48 – $49.48 | 6,867 | 1 |
| Bala Cynwyd, PA | $121.67 | $63.39 – $127.99 | 6,914 | 5 |
| Ripley, WV | $157.59 | $66.71 – $211.46 | 6,919 | 3 |
| Glendora, CA | $56.36 | $55.90 – $119.00 | 6,929 | 4 |
| Duluth, MN | $315.99 | $0.00 – $2,024 | 6,930 | 11 |
| La Puente, CA | $65.13 | $55.81 – $119.00 | 6,933 | 9 |
| Scranton, PA | $88.53 | $0.00 – $231.34 | 6,938 | 10 |
| Dacono, CO | $225.99 | $225.99 – $225.99 | 6,941 | 1 |
| Menomonie, WI | $40.33 | $36.20 – $52.58 | 6,945 | 4 |
| Rock Hill, SC | $110.41 | $0.00 – $295.19 | 6,952 | 19 |
| Walla Walla, WA | $71.37 | $30.49 – $81.67 | 6,954 | 5 |
| Whitestone, NY | $50.67 | $45.46 – $53.66 | 6,963 | 2 |
| Arvada, CO | $93.79 | $0.00 – $158.79 | 6,969 | 12 |
| Flagstaff, AZ | $24.28 | $0.00 – $375.00 | 6,980 | 6 |
| Davie, FL | $48.99 | $15.19 – $56.57 | 6,995 | 8 |
| Fairfield, OH | $62.03 | $35.81 – $85.33 | 7,026 | 4 |
| Mason City, IA | $170.27 | $0.00 – $198.79 | 7,033 | 4 |
| Dearborn Heights, MI | $149.32 | $41.48 – $153.38 | 7,046 | 5 |
| Baldwin Park, CA | $75.27 | $47.83 – $119.00 | 7,062 | 11 |
| Easley, SC | $152.61 | $84.85 – $199.08 | 7,065 | 8 |
| Nutley, NJ | $211.49 | $34.14 – $212.37 | 7,066 | 2 |
Cost Components
National averages for each billing code in this procedure category. Sorted by claim volume.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| D7140 | Extraction erupted tooth | $62.39 | 23,686,863 | 23,795 |
| D7210 | Extraction surgical | $107.67 | 10,401,864 | 9,633 |
| D7240 | Extraction impacted complete | $224.70 | 3,269,582 | 2,462 |
| D7230 | Extraction impacted partial | $183.08 | 1,015,698 | 1,544 |
| D7111 | Extraction coronal remnant pri | $52.85 | 561,092 | 1,785 |
| D7250 | Surgical removal residual root | $112.93 | 316,096 | 591 |
| D7220 | Extraction impacted soft tiss | $130.41 | 131,703 | 431 |
| D7241 | Extraction impacted w/compl | $234.67 | 32,070 | 71 |
These averages group common billing codes used when providers bill Medicaid for this procedure. Individual costs will vary.